Organization Active NPI

Prime Health LLC

  • Rural Health Clinic/Center
  • Plaquemine, LA
National Provider Identifier
1700951951
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
003 Issued in LA
Legal business name
PRIME HEALTH LLC
Doing business as
Prime Health
Practice address
59295 Riverwest Dr
Suite C
Plaquemine, LA 70764
Phone
(225) 687-2001
Fax
(225) 687-9519
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Meichi C Lee
Title
Administrator
Phone
(225) 687-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 003 LA
Rural Health Clinic/Center 261QR1300X 003 LA Primary

Addresses

Primary practice location

59295 Riverwest Dr
Suite C
Plaquemine, LA 70764

Mailing address

59295 Riverwest Dr
Suite C
Plaquemine, LA 70764
Phone (225) 687-2001

Other identifiers 1

IdentifierTypeStateIssuer
1440051MedicaidLA

Other names 1

  • Prime Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1700951951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59295 RIVERWEST DR",
            "address_2": "SUITE C",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-687-2001",
            "fax_number": "225-687-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59295 RIVERWEST DR",
            "address_2": "SUITE C",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-687-2001",
            "fax_number": "225-687-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MEICHI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-687-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "003",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.